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CMS RVU26D · Effective 2026-10-01

36583 in Delaware

Office / nonfacility

$1244.98

Base rate per service

Facility setting

$310.41

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Vascular access

About 36583: Tunneled central catheter replacement

Reports complete replacement of a tunneled central venous catheter through the same access, commonly when an existing long-term line requires exchange.

This service replaces a tunneled central venous catheter through the existing venous access. It is used for long-term central access, such as a tunneled catheter used for dialysis, chemotherapy, or prolonged infusion, when the existing catheter needs complete exchange. Interventional radiologists, surgeons, and other qualified physicians typically perform the procedure in a hospital or ambulatory procedural setting. The service concerns a tunneled catheter, not a port-based device or a PICC.

Report the code when the physician completes an exchange through the same access, rather than simply repairing the existing catheter or establishing new access. Documentation should identify the catheter, the reason for exchange, the access used, and the replacement performed. The code has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 36583

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.91 · 13%
  • Practice expense (office) RVU31.54 · 84%
  • Malpractice RVU1.31 · 3%

18

Medicare services in 2024 · #5975 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

36583 compared with similar codes

Office rates for Delaware, from the same CMS release.

36581

Catheter replacement

Tunneled, without port

$749.28

Both concern tunneled central catheter replacement. Select based on the exact service and device distinction in the current code descriptors; do not choose by the general fact that the catheter is tunneled alone.

36582

Device replacement

With port or pump

$847.74

This code is for replacement of a tunneled central venous access device with a subcutaneous port. Code 36583 concerns a tunneled catheter replacement rather than that port-based device.

36575

Catheter repair

Tunneled, without port or pump

$146.02

Code 36575 represents repair of a tunneled catheter. Code 36583 is for complete replacement, not repair of the existing line.

36580

Central catheter replacement

Non-tunneled, same access

$190.93

Code 36580 is for complete replacement of a non-tunneled centrally inserted catheter. Use 36583 for the tunneled-catheter service.

The same code, a different location

How does Delaware compare?

36583 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $1244.98

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1446.02

    $201.04 higher than Delaware

  3. Dc + Md/Va Suburbs

    $1462.53

    $217.55 higher than Delaware

  4. Miami

    $1371.31

    $126.33 higher than Delaware

  5. Chicago

    $1324.30

    $79.32 higher than Delaware

  6. Manhattan

    $1468.02

    $223.04 higher than Delaware

  7. Alaska*

    $1392.05

    $147.07 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 36583 ranges from $1091.46 in Arkansas to $1724.59 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 36583

    Office

    $1110.55

    Facility

    $282.87

    $134.43 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 36583

    Office

    $1091.46

    Facility

    $278.92

    $153.52 lower than Delaware for the office setting.

  • Arizona

    Arizona · 36583

    Office

    $1222.26

    Facility

    $305.67

    $22.72 lower than Delaware for the office setting.

  • Bakersfield

    California · 36583

    Office

    $1348.36

    Facility

    $311.64

    $103.38 higher than Delaware for the office setting.

  • Chico

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • El Centro

    California · 36583

    Office

    $1345.05

    Facility

    $308.33

    $100.07 higher than Delaware for the office setting.

  • Fresno

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Madera

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Merced

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Modesto

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Napa

    California · 36583

    Office

    $1585.02

    Facility

    $338.31

    $340.04 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36583

    Office

    $1441.04

    Facility

    $322.98

    $196.06 higher than Delaware for the office setting.

  • Redding

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Rest Of California

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36583

    Office

    $1358.87

    Facility

    $322.15

    $113.89 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36583

    Office

    $1418.53

    Facility

    $318.44

    $173.55 higher than Delaware for the office setting.

  • Salinas

    California · 36583

    Office

    $1413.50

    Facility

    $317.19

    $168.52 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36583

    Office

    $1452.58

    Facility

    $321.26

    $207.60 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36583

    Office

    $1685.05

    Facility

    $351.31

    $440.07 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36583

    Office

    $1683.56

    Facility

    $349.82

    $438.58 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36583

    Office

    $1724.59

    Facility

    $360.58

    $479.61 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36583

    Office

    $1718.50

    Facility

    $354.50

    $473.52 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36583

    Office

    $1390.14

    Facility

    $312.74

    $145.16 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 36583

    Office

    $1470.85

    Facility

    $321.57

    $225.87 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 36583

    Office

    $1420.38

    Facility

    $317.45

    $175.40 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 36583

    Office

    $1486.03

    Facility

    $324.44

    $241.05 higher than Delaware for the office setting.

  • Stockton

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Vallejo

    California · 36583

    Office

    $1582.88

    Facility

    $336.17

    $337.90 higher than Delaware for the office setting.

  • Visalia

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Yuba City

    California · 36583

    Office

    $1344.84

    Facility

    $308.11

    $99.86 higher than Delaware for the office setting.

  • Colorado

    Colorado · 36583

    Office

    $1321.03

    Facility

    $314.57

    $76.05 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 36583

    Office

    $1354.80

    Facility

    $336.05

    $109.82 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 36583

    Office

    $1310.27

    Facility

    $352.06

    $65.29 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 36583

    Office

    $1236.87

    Facility

    $332.58

    $8.11 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 36583

    Office

    $1287.36

    Facility

    $326.31

    $42.38 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 36583

    Office

    $1155.84

    Facility

    $312.09

    $89.14 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 36583

    Office

    $1387.12

    Facility

    $311.62

    $142.14 higher than Delaware for the office setting.

  • Iowa

    Iowa · 36583

    Office

    $1145.29

    Facility

    $279.78

    $99.69 lower than Delaware for the office setting.

  • Idaho

    Idaho · 36583

    Office

    $1153.88

    Facility

    $283.64

    $91.10 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 36583

    Office

    $1221.31

    Facility

    $351.07

    $23.67 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 36583

    Office

    $1194.20

    Facility

    $330.58

    $50.78 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 36583

    Office

    $1324.59

    Facility

    $353.14

    $79.61 higher than Delaware for the office setting.

  • Indiana

    Indiana · 36583

    Office

    $1161.82

    Facility

    $284.96

    $83.16 lower than Delaware for the office setting.

  • Kansas

    Kansas · 36583

    Office

    $1138.38

    Facility

    $283.28

    $106.60 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 36583

    Office

    $1140.56

    Facility

    $299.65

    $104.42 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 36583

    Office

    $1205.01

    Facility

    $314.91

    $39.97 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 36583

    Office

    $1138.23

    Facility

    $301.10

    $106.75 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 36583

    Office

    $1467.50

    Facility

    $338.08

    $222.52 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36583

    Office

    $1310.79

    Facility

    $314.75

    $65.81 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36583

    Office

    $1351.11

    Facility

    $336.15

    $106.13 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 36583

    Office

    $1271.91

    Facility

    $314.65

    $26.93 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 36583

    Office

    $1160.40

    Facility

    $290.16

    $84.58 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 36583

    Office

    $1235.59

    Facility

    $298.19

    $9.39 lower than Delaware for the office setting.

  • Detroit

    Michigan · 36583

    Office

    $1254.36

    Facility

    $341.56

    $9.38 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 36583

    Office

    $1175.21

    Facility

    $311.59

    $69.77 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 36583

    Office

    $1260.96

    Facility

    $287.62

    $15.98 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 36583

    Office

    $1195.95

    Facility

    $307.74

    $49.03 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 36583

    Office

    $1210.74

    Facility

    $310.23

    $34.24 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 36583

    Office

    $1114.70

    Facility

    $299.32

    $130.28 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 36583

    Office

    $1103.37

    Facility

    $288.93

    $141.61 lower than Delaware for the office setting.

  • Montana**

    Montana · 36583

    Office

    $1261.13

    Facility

    $315.22

    $16.15 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 36583

    Office

    $1174.84

    Facility

    $292.30

    $70.14 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 36583

    Office

    $1235.23

    Facility

    $289.31

    $9.75 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 36583

    Office

    $1152.89

    Facility

    $279.81

    $92.09 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 36583

    Office

    $1298.94

    Facility

    $314.24

    $53.96 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 36583

    Office

    $1443.08

    Facility

    $345.82

    $198.10 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 36583

    Office

    $1368.94

    Facility

    $336.00

    $123.96 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 36583

    Office

    $1182.58

    Facility

    $315.17

    $62.40 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 36583

    Office

    $1254.96

    Facility

    $308.10

    $9.98 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36583

    Office

    $1508.32

    Facility

    $383.63

    $263.34 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36583

    Office

    $1377.87

    Facility

    $342.09

    $132.89 higher than Delaware for the office setting.

  • Queens

    New York · 36583

    Office

    $1482.78

    Facility

    $364.71

    $237.80 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 36583

    Office

    $1195.55

    Facility

    $296.93

    $49.43 lower than Delaware for the office setting.

  • Ohio

    Ohio · 36583

    Office

    $1169.92

    Facility

    $306.30

    $75.06 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 36583

    Office

    $1138.74

    Facility

    $294.04

    $106.24 lower than Delaware for the office setting.

  • Portland

    Oregon · 36583

    Office

    $1369.58

    Facility

    $318.67

    $124.60 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 36583

    Office

    $1244.01

    Facility

    $301.88

    $0.97 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36583

    Office

    $1315.81

    Facility

    $331.11

    $70.83 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36583

    Office

    $1172.43

    Facility

    $304.08

    $72.55 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 36583

    Office

    $1272.15

    Facility

    $315.83

    $27.17 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 36583

    Office

    $1294.37

    Facility

    $317.24

    $49.39 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 36583

    Office

    $1174.59

    Facility

    $300.57

    $70.39 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 36583

    Office

    $1232.16

    Facility

    $286.25

    $12.82 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 36583

    Office

    $1145.09

    Facility

    $285.26

    $99.89 lower than Delaware for the office setting.

  • Austin

    Texas · 36583

    Office

    $1317.66

    Facility

    $316.88

    $72.68 higher than Delaware for the office setting.

  • Beaumont

    Texas · 36583

    Office

    $1163.30

    Facility

    $302.52

    $81.68 lower than Delaware for the office setting.

  • Brazoria

    Texas · 36583

    Office

    $1243.42

    Facility

    $306.02

    $1.56 lower than Delaware for the office setting.

  • Dallas

    Texas · 36583

    Office

    $1252.27

    Facility

    $310.14

    $7.29 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 36583

    Office

    $1242.30

    Facility

    $309.63

    $2.68 lower than Delaware for the office setting.

  • Galveston

    Texas · 36583

    Office

    $1247.63

    Facility

    $308.34

    $2.65 higher than Delaware for the office setting.

  • Houston

    Texas · 36583

    Office

    $1271.61

    Facility

    $332.32

    $26.63 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 36583

    Office

    $1203.25

    Facility

    $305.58

    $41.73 lower than Delaware for the office setting.

  • Utah

    Utah · 36583

    Office

    $1193.55

    Facility

    $304.39

    $51.43 lower than Delaware for the office setting.

  • Virginia

    Virginia · 36583

    Office

    $1230.45

    Facility

    $300.61

    $14.53 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36583

    Office

    $1272.15

    Facility

    $315.83

    $27.17 higher than Delaware for the office setting.

  • Vermont

    Vermont · 36583

    Office

    $1229.07

    Facility

    $292.61

    $15.91 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 36583

    Office

    $1308.73

    Facility

    $312.68

    $63.75 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 36583

    Office

    $1500.55

    Facility

    $339.91

    $255.57 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 36583

    Office

    $1186.69

    Facility

    $280.51

    $58.29 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 36583

    Office

    $1142.07

    Facility

    $320.07

    $102.91 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 36583

    Office

    $1249.84

    Facility

    $303.93

    $4.86 higher than Delaware for the office setting.

See how rates vary across the country

36583 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$1,091.46

$1,534.72

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,392.051
AL$1,110.551
AR$1,091.461
AZ$1,222.261
CA$1,344.84–$1,724.5929
CO$1,321.031
CT$1,354.801
DC$1,462.531
DE$1,244.981
FL$1,236.87–$1,371.313
GA$1,155.84–$1,287.362
GU$1,387.121
HI$1,387.121
IA$1,145.291
ID$1,153.881
IL$1,194.20–$1,324.594
IN$1,161.821
KS$1,138.381
KY$1,140.561
LA$1,138.23–$1,205.012
MA$1,310.79–$1,467.502
MD$1,271.91–$1,462.533
ME$1,160.40–$1,235.592
MI$1,175.21–$1,254.362
MN$1,260.961
MO$1,114.70–$1,210.743
MS$1,103.371
MT$1,261.131
NC$1,174.841
ND$1,235.231
NE$1,152.891
NH$1,298.941
NJ$1,368.94–$1,443.082
NM$1,182.581
NV$1,254.961
NY$1,195.55–$1,508.325
OH$1,169.921
OK$1,138.741
OR$1,244.01–$1,369.582
PA$1,172.43–$1,315.812
PR$1,272.151
RI$1,294.371
SC$1,174.591
SD$1,232.161
TN$1,145.091
TX$1,163.30–$1,317.668
UT$1,193.551
VA$1,230.45–$1,462.532
VI$1,272.151
VT$1,229.071
WA$1,308.73–$1,500.552
WI$1,186.691
WV$1,142.071
WY$1,249.841

Explore 36583 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 36583 in Delaware, the physician’s office rate is $1244.98 and the facility-setting rate is $310.41: a difference of $934.57.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36583 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1369.48

$1244.98 × 110% = $1369.48

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36583 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,525

Code
36583
Physician work
4.91
Practice expense
31.54
Malpractice
1.31

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 36583 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.91× 1.0054.9345
Practice expense31.54× 0.98831.1615
Malpractice1.31× 0.8991.1777
Total RVUs37.2738
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$1244.98

Open 36583 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.911.005
Practice expense31.540.988
Malpractice1.310.899

(4.91 × 1.005 + 31.54 × 0.988 + 1.31 × 0.899) × $33.4009 = $1244.98

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.911.005
Practice expense3.220.988
Malpractice1.310.899

(4.91 × 1.005 + 3.22 × 0.988 + 1.31 × 0.899) × $33.4009 = $310.41

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

36583 · Office / nonfacility

$1244.98

Effective 2026-10-01

The base rate is $189.92 higher than on 2025-10-01, moving from $1055.06 to $1244.98 (18.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $1055.06changed to$1244.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.04 changed to 4.91
    • Practice expense RVU 26.52 changed to 31.54
    • Malpractice RVU 1.29 changed to 1.31
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1055.06

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$1244.98$310.41RVU26D
2026-07-01$1244.98$310.41RVU26C
2026-04-01$1244.98$310.41RVU26B
2026-01-01$1244.98$310.41RVU26A
2025-10-01$1055.06$319.29RVU25D
2025-07-01$1055.06$319.29RVU25C
2025-04-01$1055.06$319.29RVU25B
2025-01-01$1055.06$319.29RVU25A

36583 billing questions

How does this differ from 36581 or 36582?

Choose among the tunneled-catheter replacement codes based on the specific device and service described by the applicable code. Code 36582 is for replacement of a tunneled device with a subcutaneous port; confirm the distinction between 36581 and 36583 in the current code descriptor.

Can catheter removal be billed separately during the exchange?

This code represents a complete replacement through the same access, rather than a standalone removal followed by a separately coded insertion. The record should support that a complete exchange was performed.

When is repair more appropriate than replacement?

Use a repair code when the existing tunneled catheter is repaired rather than completely exchanged. Codes 36575 and 36576 distinguish repair services by device type.

Does modifier 50 apply if two catheters are replaced?

No. CMS identifies bilateral adjustment as inappropriate for this code. Document each service performed and apply the multiple procedure rule when procedures are performed in the same session.

What postoperative care is included?

Related postoperative visits during the 10-day global period are included in the procedure's payment.

When may an assistant-at-surgery be paid?

Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 36583PPRRVU2026_Oct_nonQPP.csv, line 4,525 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet